肝膿瘍を合併した潰瘍性大腸炎の1例

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It is said that ulcerative colitis is only rerely accompanied by hepatic abscess. We recently experienced a case of hepatic abscess associated with ulcerative colitis, which was cured by puncture drainage under ultrasonography. Details of this case are reported with some comments based on the literature. The patient was a 41-year-old man, who visited our hospital because of hemorrhagic diarrhea. A diagnosis of total ulcerative colitis was obtained from clinical findings and the results of contrast enema and colonoscopy. Although salazopyrin therapy achieved an improvement in the symptoms, fever ocourred soon after. Since laboratory examination revealed hyperleukocytosis and an increase in biliary-system enzymes, abdominal ultrasonography and CT were performed and a diagnosis of hepatic abscess associated with ulcerative colitis was made. Percutaneous transhepatic drainage was performed under ultrasonography, and antibiotics were given. The drainage tube was removed about 2 months later, when fever had been relieved and the abscess had been reduced. The patient was then discharged because remission of ulcerative colitis had also been obtained. This case is now being followed up on an outpatient basis. There has been no relapse to date.
日本大腸肛門病学会の論文